Individual
GLENN MICHAEL PAETOW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 PARK AVE, HCMC, DEPARTMENT OF EMERGENCY MEDICINE, MINNEAPOLIS, MN 55415-1623
(612) 873-4906
Mailing address
2 E 39TH ST, MINNEAPOLIS, MN 55409-1663
(443) 691-1043
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
108812
MN
Other
Enumeration date
04/13/2013
Last updated
05/20/2016
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